الفهرس 
Functional abdominal painOnly 14 pages are availabe for public view
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Abstract
unctional abdominal pain is one of the most common complaints of children and adolescents in general pediatric clinics. In the general population prevalence is reported to vary from 12% to 30%, and prevalence rates vary significantly
between countries and depend on the diagnostic criteria used.
In this study, our aim was to evaluate the effect of dietary modification (low FODMAP diet) on clinical severity of functional abdominal pain among children .
We included 50 patients have functional abdominal pain according to Rome IV criteria .
We asses pain score as the patient or the parents were instructed to describe the pain felt and correlate with Wong- Baker Faces pain rating scale .
We asses stool consistency by the patient or the parents were instructed to describe the stool consistency and correlate with the Bristol stool chart.
We assess quality of life of patients by quality of life questionnaire (KID SCREEN) child & parent version.
Patients started low FODMAP diet for 2 months then we reasses pain score ,Bristol stool chart and quality of life after 2 months of low FODMAP diet.
In this study, we found the following results:
There was female predominance with female:male ratio 1.5:1. 46% of our patients were from urban areas while 54% of
them from rural areas.
40% of our patients are the first order of birth.
We found that 8 patients (16%) were from consanguineous parents and 42 patients (84%) from non-consanguineous parents.
Abdominal pain is colicky and umblical in 78% of patients.
42 patients (84%) had abdominal pain exacerbated by foods,6 patients(12%) pain exacerbated by stress,2 paients (4%) have no exacerbating factors for pain.
Pain is relieved by defecation in 44patients (88%),and not relieved in 6patients(12%).
We found that there are 13 patients(26%) have vomiting,37patients(74%) have no vomiting .
4patients (8%) complained of school troubles,1 patient(2%) has family troubles,45patients(90%) have no psychological stresses.
28 patients(56%)have positive family history of IBS,3patients (6%)have positive family history of constipation,19patients (38%) have no family history of any gastrointestinal diseases.
stool consistency pattern according to Bristol stool chart classification was 16 patients (32%) had normal stool consistency ,18 patients (36%) had constipation and 16 patients
(32%) had diarrhea.
There are 10 patients (20%) had functional abdominal pain non otherwise specific, 40 patients(80%) had irritable bowel syndrome,(13 patients had constipation,13 patients had diarrhea,14 patients had mixed type of IBS.
8patients(16%) had no response to diet modification (low FOODMAP)and 42pateints (84%)had response to diet.(2% poor response), (60% moderate response) ,(22%good response).
There are marked improvement (84%) in pain score after 2 months of low FODMAP diet .
There is marked improvement in quality of life after 2months of low FODMAP diet.
Patients who described poor&accepted quality of life responded better than those who described good quality of life at base line .